Individual
MRS. KIMBERLY ELIZABETH ETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1519 S PHILLIPS ST, ALGONA, IA 50511-3649
(515) 295-2451
(515) 295-4505
Mailing address
1519 S PHILLIPS ST, ALGONA, IA 50511-3649
(515) 295-2451
(515) 295-4505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001109
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36657
WELLMARK
IA
01
—
45658
WELLMARK
IA
Enumeration date
11/06/2006
Last updated
07/15/2025
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